Organization
MEDICAL XRAY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD LLOYD LARSON (BUSINESS ADMINISTRATOR)
(605) 731-7522
Entity
Organization
Contact information
Practice address
1417 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1715
(605) 336-0517
(605) 336-2874
Mailing address
1417 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1715
(605) 336-0517
(605) 336-2874
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7202240
—
SD
Enumeration date
02/05/2007
Last updated
10/25/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us